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Tanner Bailey Pain Management shadow health Subjective ddata

Subjective Data Collection: 25 of 25 (100.0%)

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Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:
Indicates an item that you found.

Available:
Indicates an item that is available to be found.

Category

Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

Finding:
Established chief complaint and reason for admittance

&nbspSubjective Action&nbspPro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.&nbspExample Question: "What is your chief complaint?"” data-html=”true” data-title=”Reports chronic lower back pain resulting from work injury (Found)” data-original-title=””>
Finding:
Reports chronic lower back pain resulting from work injury
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
What is your chief complaint?

&nbspSubjective Action&nbspPro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.&nbspExample Question: "What is your chief complaint?"” data-html=”true” data-title=”Reports wanting a prescription for opioids (Found)” data-original-title=””>
Finding:
Reports wanting a prescription for opioids
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
What is your chief complaint?

History of Present Illness

Finding:
Asked about onset of injury

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "When did the pain start?"” data-html=”true” data-title=”Reports sustaining injury thirteen weeks ago (Found)” data-original-title=””>
Finding:
Reports sustaining injury thirteen weeks ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did the pain start?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "When did the pain start?"” data-html=”true” data-title=”Reports injury occurred after lifting a heavy box (Found)” data-original-title=””>
Finding:
Reports injury occurred after lifting a heavy box
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did the pain start?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "When did the pain start?"” data-html=”true” data-title=”Reports pain onset immediately after injury (Found)” data-original-title=””>
Finding:
Reports pain onset immediately after injury
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did the pain start?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Did you go to the hospital?"” data-html=”true” data-title=”Reports being driven to hospital immediately after injury (Found)” data-original-title=””>
Finding:
Reports being driven to hospital immediately after injury
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Did you go to the hospital?

Finding:
Followed up on hospitalization

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "What did the hospital diagnose you with?"” data-html=”true” data-title=”Reports hospital exams could not diagnose the type of back injury (Found)” data-original-title=””>
Finding:
Reports hospital exams could not diagnose the type of back injury
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What did the hospital diagnose you with?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Did the hospital prescribe you anything?"” data-html=”true” data-title=”Reports hospital prescribed ibuprofen (Found)” data-original-title=””>
Finding:
Reports hospital prescribed ibuprofen
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Did the hospital prescribe you anything?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Did the hospital recommend anything?"” data-html=”true” data-title=”Reports being told at the hospital to attend physical therapy (Found)” data-original-title=””>
Finding:
Reports being told at the hospital to attend physical therapy
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Did the hospital recommend anything?

Finding:
Asked about frequency, duration, and timing of pain

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Have your pain levels changed since your injury?"” data-html=”true” data-title=”Reports back injury and pain have not healed since onset (Found)” data-original-title=””>
Finding:
Reports back injury and pain have not healed since onset
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Have your pain levels changed since your injury?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "When does the pain occur?"” data-html=”true” data-title=”Reports pain fluctuates in and out throughout the day at irregular intervals (Found)” data-original-title=””>
Finding:
Reports pain fluctuates in and out throughout the day at irregular intervals
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When does the pain occur?

Finding:
Asked about additional symptoms of injury

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "What other symptoms do you have?"” data-html=”true” data-title=”Denies additional symptoms (Found)” data-original-title=””>
Finding:
Denies additional symptoms
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What other symptoms do you have?

Finding:
Asked about aggravating factors of pain

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Does exertion make your pain worse?"” data-html=”true” data-title=”Reports exertion such as walking, bending, or lifting aggravate pain (Found)” data-original-title=””>
Finding:
Reports exertion such as walking, bending, or lifting aggravate pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Does exertion make your pain worse?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Does exercise make your pain worse?"” data-html=”true” data-title=”Reports at-home physical therapy exercises aggravated pain, discouraging attendence of physical therapy (Found)” data-original-title=””>
Finding:
Reports at-home physical therapy exercises aggravated pain, discouraging attendence of physical therapy
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Does exercise make your pain worse?

Finding:
Asked about nonmedicational treatment and relieving factors of pain

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Does drinking alcohol relieve your pain?"” data-html=”true” data-title=”Reports drinking alcohol relieves pain (Found)” data-original-title=””>
Finding:
Reports drinking alcohol relieves pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Does drinking alcohol relieve your pain?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Does shifting positions relieve your pain?"” data-html=”true” data-title=”Reports shifting positions when sitting or lying down can slightly relieve pain (Found)” data-original-title=””>
Finding:
Reports shifting positions when sitting or lying down can slightly relieve pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Does shifting positions relieve your pain?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Does resting relieve your pain?"” data-html=”true” data-title=”Reports resting slightly relieves pain (Found)” data-original-title=””>
Finding:
Reports resting slightly relieves pain
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Does resting relieve your pain?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "Have you tried heat packs?"” data-html=”true” data-title=”Denies trying heat or ice packs (Available)” data-original-title=””>
Finding:
Denies trying heat or ice packs
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Have you tried heat packs?

Finding:
Asked about characteristics of pain

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.&nbspExample Question: "What is the pain like?"” data-html=”true” data-title=”Descibes pain as usually sharp and burning (Found)” data-original-title=””>
Finding:
Descibes pain as usually sharp and burning
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What is the pain like?

&nbspSubjective Action&nbspPro Tip: Asking a patient about the length of their current health issues soli

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